Provider Demographics
NPI:1497271159
Name:HWH PSYCHOTHERAPY INC.
Entity Type:Organization
Organization Name:HWH PSYCHOTHERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WINEBURG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:336-708-0750
Mailing Address - Street 1:1827 DONNALEE AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2303
Mailing Address - Country:US
Mailing Address - Phone:336-708-0750
Mailing Address - Fax:
Practice Address - Street 1:4939 LOWER ROSWELL RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4338
Practice Address - Country:US
Practice Address - Phone:336-708-0750
Practice Address - Fax:336-708-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007255104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1083130736OtherHANNAH WINEBURG
GA1548663644OtherPARKAIRE CONSULTANTS, INC.